Safely Transport of injured patients and first aid.

1. Transportation of injured
persons
Sachin Dwivedi
Clinical Instructor, CENER, AIIMS RISHIKESH

2. Transportation of injured persons
Transporting of injured person is one of
the major responsibilities and aims of first
aid treatment.
As the first aider rescues the casualties
from poisonous environment or
collapsing building, he/she examines the
casualties and then makes necessary
arrangement to transport them to the
nearest medical aid/hospital.

3. General Principles
⚫Reassure the casualty and explain to him
what you are planning to do.
⚫Seek for assistance.
⚫No more than one leader should be there to
guide the team.
⚫Do not try to move a seriously injured victim
alone when assistance is available.

4. Cont..
⚫Maintain proper body mechanics while
moving the victim.
⚫Take immediate action to transport the
casualty to the nearest health care agency.
⚫Before transporting consider the nature
and severity of injury, first aid already
provided, number of assistants available
and the distance and route to be covered.

5. Methods of transport

6. ⚫When only one first aider is
available and the casualty is with
minor injuries.

7. 1. Cradle method
⚫Carrying or lifting the victim in hands

8. 2. Human crutch method
⚫First aider himself acts as a support to
the casualty
⚫He stands close to the victim and
holds his waist.
⚫He then keeps the casualty’s hand on
his neck and lift him with the other
hand and gives him support
⚫Used only when the victim is
conscious and co-operative with only
minor wounds.

9. 3. Fireman’s lift and carry method
⚫A) Lift & Carry method
With the injured person standing, the first
aider holds one of his hands and with
the other hand holds his legs over the
knee and carry him on the back.

10. ⚫B)Pick a back method
Help the casualty to sit on a chair
or on a high place. Bend before
him and tell him to fold his legs
around your waist and hands
around the shoulders.
Slowly lift him and rise from the
sitting position, maintaining body
mechanics.

11. 4. Drag method
⚫It is useful in situations when the casualty is
unable to stand and when he is under danger and
has to be moved quickly from the site of danger
⚫Eg: fire, electrical shock
• Squat at the head end of the casualty.
• Keep the victim’s hands across his chest.
• Grasp the armpit and cradle the casualty’s head on
your forearm.
• Pull the casualty from the site of danger without
lifting.

13. ⚫When two helpers are available and
the casualty is with major danger

14. Two handed seat
⚫ This method is used when the casualty
is unable to hold the first aider, may be
due to a fracture of hand.
⚫ The two first aiders stand face to face
and hold him with one hand of each
one at the chest level.
⚫ Hold the other hands together like a
hook with fingers.
⚫ Can keep a towel in the hand.
⚫ Slowly lift him from the middle portion
of his hands.
⚫ Both should walk now in the same
manner slowly.

15. Four handed seat
⚫Both persons should stand behind
the casualty facing each other.
⚫Now catch each other’s wrist ie.
right wrist with left wrist of other
person and vice versa.
⚫After forming the seat, ask the
casualty to sit on it with both
hands on the shoulders and neck
of each first aider.
⚫Both should now take slow steps.

16. Chair method
⚫The casualty is made to sit on a chair
and fasten him on the chair with a long
piece of cloth.
⚫One person should stand in front and
the other person behind the casualty,
facing each other.
⚫Now both the first aiders together
carry him slowly, ensuring the casualty
does not lean forward or fall down.

17. Wheel chair method
⚫The casualty is made to sit on wheel
chair as in the ordinary chair.
⚫Grasp the handles and slowly move
the victim

18. Carrying or lifting the victim with two
persons ( Fore and AFT method)
⚫One first aider squat at the head
end of the casualty.
⚫Place the casualty’s arms
across his abdomen.
⚫He then catches the victim by
encircling his chest while the
other person squat between the
legs of casualty facing the feet
and catches him by putting the
hands under the knees.
⚫Both persons rise together and
move slowly.

19. Sheet/ blanket lift
⚫The sheet on which the victim is lying
can be used, if it is strong enough,for
lifting him.

20. Suspected spinal injury
⚫Log roll technique

21. Stretchers
⚫Devices used to carry/ transport
injured patients to a vehicle or to a
shelter.

22. Types
⚫Standard Furley stretcher
⚫Pole and canvas stretcher
⚫Trolley cot

23. Standard Furley stretcher
⚫Consists of a canvas/ plastic sheet
attached to 2 carrying poles
⚫There is a stand underneath

24. Pole and Canvas stretcher
⚫Consists of a canvas/ plastic sheet
about 200cm long and 50cm wide with
handles and slide sleeves and a pair
of carrying poles
⚫The poles are passed through the
sleeves down the side of the canvas
to form the stretcher

25. Trolley cot
⚫It is an adjustable stretcher bed which
can be moved on wheels
⚫Consists of safety means such as side
rails, safety straps and wheel brakes

26. Adjustable stretcher with wheels

27. Ambulance stretcher

28. THANK YOU